1.

Complete an ATI Focused Review® and send me a detailed summary (2-3

sentences each) of 4 concepts that you learned from the focused review.
Collecting data is pertinent to delivering accurate patient care Family data collection will
stem into many areas. The history of ones parents siblings and grandparents may be
assessed. The structure, characteristics, and environment should be noted as well as a
family support system. Pay close attention to family members that state that a child isn’t
acting right or have other concerns.

Patient care for low risk newborns have nursing care standards. Vital signs should be
checked on admission/birth every 30 minutes x 2, every hour x 2, and then every 8 hours
thereafter if they remain stable. Using the facilities preferred pain assessment tool, the
clients pain should be monitored every assessment after painful procedures.

Adequate nutrition during pregnancy is essential. Recommended weight gain is from 15-35
pounds. A nurses role is to identify the clients nutritional choices, risk factors and diet
history. The nurse should also review specific nutritional guidelines for at risk clients as well.

Management of newborn complications includes data collection, identifying risk factors and
collaborative care. It is essential to immediately identify complications and implement proper
interventions. Ongoing emotional support to the client and significant other is also part of
nursing care.

2. Answer the following questions and review the suggested learning activities.
Send me your answers here.

A nurse is caring for a newborn with hyperbilirubinemia who has been prescribed phototherapy.
Identify five (5) interventions the nurse should institute for this client?
Sleep pattern control.
Mobility therapy.
Compliance with diet.
Infection control.
Alcohol abuse control.

A nurse is reinforcing teaching to a client receiving Nifedipine for preterm labor. What are three (3)
points the nurse should include?
This will augment her labor
Several types of tocolytics are used in treating pre-term labor; however, the only drug approved
by the Food and Drug Administration (FDA) as a tocolytic is ritodrine hydrochloride (Yutopar).
Ritodrine can be used if labor begins between 20 and 36 weeks gestation and if the fetus

This study source was downloaded by 100000836939437 from CourseHero.com on 04-19-2022 13:33:39 GMT -05:00

https://www.coursehero.com/file/46169867/Maternal-infant-ATI-capstone-remediationdocx/
 weighs between 500 and 2,499 grams. However, the tocolytic agents commonly used at most
hospitals are magnesium sulfate, terbutaline and nifedipine.

The nurse is reinforcing teaching to a group of pregnant clients about adverse effects of ferrous
sulfate. constipation;
upset stomach;
black or dark-colored stools; or.
temporary staining of the teeth.

The nurse is providing care to a postpartum client with an episiotomy. What are four (4) comfort
measures the nurse should provide to the client? Assist the client in the correct positioning. Offer
the client assistance with understanding how to hold their muscles before during and after
the administration. Let the client know that the therapeutic response doesn’t typicall involve
to o much discomfort to alert you while you’re performing this task. Make sure a client also
understands that she will be healing from this easier than she would have a tear. It will allow
for the child to ascend rom the birth canal easier.

Suggested Maternal Newborn Learning activity: Normal Postpartum Care

A nurse is reviewing laboratory results for a client at 12 weeks gestation. Which of the following
results should be reported to the care provider?
VDRL Negative
A positive blood type
HSV positive

Suggested Maternal Newborn Learning Activity: TORCH screen

A nurse is reviewing lab results for a newborn infant born at 38 weeks gestation, born 24 hours ago
to an Rh negative mother. Which of the following results should be reported to the care provider?
Blood glucose level of 45 mg/dL
Total serum Bilirubin 12 mg/DL
Blood type B positive
Coombs Negative

Suggested Maternal Newborn Learning Activity: Rh Incompatibility : RhoGAM

A postpartum client asks the nurse why her baby needs a newborn screen. What teaching should the
nurse reinforce regarding why this test is necessary? Newborn screening is part of standard

This study source was downloaded by 100000836939437 from CourseHero.com on 04-19-2022 13:33:39 GMT -05:00

https://www.coursehero.com/file/46169867/Maternal-infant-ATI-capstone-remediationdocx/
 care; parents do not need to request to have the test done. The test is performed by
pricking the baby's heel to collect a few drops of blood. There are very few risks associated
with this procedure, and it involves minimal discomfort to the baby. The blood is placed on
a special type of paper and sent to a laboratory for analysis. Within 2 to 3 weeks, the test
results are sent to the baby's doctor's office or clinic.
Suggested Maternal Newborn Learning Activity: Newborn Case study

A nurse is reinforcing teaching to a pregnant client regarding fetal kick counts. What are two (2)
teaching points the nurse should reinforce about completing kick counts? Count the Kicks every
day, preferably at the same time. Pick your time based on when your baby is usually active.
To get started, sit with your feet up or lie on your side. Count each of your baby's
movements as one kick and tap the foot on our app until you reach ten movements

Suggestion Maternal Newborn Learning Activity: Teaching Reinforcement for the Antenatal Client

A pregnant client is newly diagnoses with gestational diabetes. What are four (4) teaching points
the nurse should reinforce to the client regarding hypoglycemia? Don't skip or delay meals or
snacks. ...
Monitor your blood sugar. ...
Measure medication carefully, and take it on time. ...
Adjust your medication or eat additional snacks if you increase your physical
activity. ...

Suggested Maternal Newborn Learning Activity: Gestational Diabetes

A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery
unit in active labor. The nurse notes the following findings: PMI right upper quadrant above
maternal umbilicus. The nurse suspects the infant is in what presenting position? Breech

Suggested Maternal Newborn Learning Activity: Fetal Monitoring

3. Complete the pre-test, tutorial and post-test for the Maternal Newborn Skills
Module - complete

This study source was downloaded by 100000836939437 from CourseHero.com on 04-19-2022 13:33:39 GMT -05:00

https://www.coursehero.com/file/46169867/Maternal-infant-ATI-capstone-remediationdocx/
 4. Complete the following practice assessment and Focused Review and send
me a detailed summary (2-3 sentences each) of 4 concepts that you learned from
the focused review.
PN Maternal Newborn 2017 A - complete
12452375
42A6994P49

1. Adjustments to the extra uterine life occurs in newborns respiratory System are
required to rapidly adjust so life outside of the uterus. The establishment of
respiratory function with the cutting of the in the umbilical cord is the most
critical extrauterine adjustment as air inflates the lungs with the first breath.
Circulatory changes after birth occur with the expulsion of the placenta and
cutting of the umbilical cord as a newborn begins breathing independently. The
three shunts functionally closed during a newborns transition to extrauterine life
with the flow of oxygenated blood in the lungs and readjustment of a trail blood
pressure on the heart.
2.
Psychosocial adaptation and maternal adjustment begin during
pregnancy as the client goes through commitment attachment in
preparation for the birth of a newborn. During the first 2 to 6 weeks after
birth , the client goes through a period of acquaintance with the
newborn, as well as a physical restoration. During this time she also
focuses on competent Lee caring for the new born. Finally the active
achieving maternal identity is accomplished around the 4th month
following birth.

3. Maternal substance use during pregnancy consists of any use of alcohol or

drugs. Substance withdrawal in the newborn occurs when the mother uses drugs
that have an addictive property during the pregnancy. Long term complications
can be feeding problems, central nervous system dysfunction. Such as cognitive
impairment and cerebral palsy. Attention deficit disorder. Language abnormalities.
Microcephaly, delayed growth and development, for maternal newborn bonding.
Risk factors include maternal substance use prior to knowing a woman is
pregnant as well as during the pregnancy.
4. Based on the severity of withdrawal manifestations phenobarbitol an anti
convulsant may be prescribed. It's intended effect is to decrease CNS irritability
and control seizures for newborns who have alcohol or opioid withdrawal period
nursing actions include checking the Ivy site frequently as well as check for any

This study source was downloaded by 100000836939437 from CourseHero.com on 04-19-2022 13:33:39 GMT -05:00

https://www.coursehero.com/file/46169867/Maternal-infant-ATI-capstone-remediationdocx/
 medication incompatibility. Participate in the referral of the mother to a drug or
alcohol treatment center.

5. Create custom exam and complete 15 Board Vitals questions using the
Ante/Intra/Postpartum and Neonatal Care content area. Once you finish your
custom BoardVitals Exam, send me a summary of five nursing concepts you
reviewed from your Board Vitals quiz to indicate completion. Access the
BoardVitals quiz bank onwww.atitesting.com under MY ATI under the NCLEX Prep
tab.
1. Decreased fetal movement can be indicative of the fetal distress. This is an indication
for a CST to evaluate the response of the fetal under stress. Intrauterine growth
restriction during pregnancy can be indicative of fetal distress. This is an indication for a
CST to evaluate their response of the fetus under stress.
2. Pregnancy it can present itself in many different ways. One way that it can present itself
is a menorrhea which is the absence of a period. Another very common way for
pregnancy to manifest as nausea and vomiting , as well as quickening.
3. A fetal ultrasound at 4 months would be ordered to detect fetal abnormalities and
determine the gestational age. An ultrasound at this early stage will not be able to
determine if the fetus is viable. An ultrasound will never be used to determine if the
fetus is getting enough nutrients through the placenta. The ultrasound can be used to
determine the fetal position but the fetus will turn many times during the pregnancy so
this is not a good explanation for why the ultrasound is being done.
4. The presence of albumin in the urine is one of the primary signs of preeclampsia.
Preeclampsia is also referred to as toxemia pregnancy. It also includes pregnancy
induced hypertension.
5. A test of the LS ratio is determined by an amniocentesis. The test is used to determine
fetal lung maturity. A sample of the amniotic fluid is analyzed to identify presence of
surfactant. Surfactant is needed by the fetal lungs to keep the alveoli from collapsing
into promote gas exchange.

This study source was downloaded by 100000836939437 from CourseHero.com on 04-19-2022 13:33:39 GMT -05:00

https://www.coursehero.com/file/46169867/Maternal-infant-ATI-capstone-remediationdocx/
Powered by TCPDF (www.tcpdf.org)